Active NPI
Thrive RX LLC
- Community/Retail Pharmacy
- Hattiesburg, MS
National Provider Identifier
1922557115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 14941/1.1
- Legal business name
- THRIVE RX LLC
- Practice address
- 6440 U S Highway 98
Hattiesburg, MS 39402-8437 - Phone
- (601) 852-1099
- Fax
- (601) 851-0188
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clark Levi
- Title
- Owner
- Phone
- (228) 218-5667
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 14941/1.1 | MS | Primary |
Addresses
Primary practice location
6440 U S Highway 98
Hattiesburg, MS 39402-8437
Mailing address
6440 U S Highway 98
Hattiesburg, MS 39402-8437
Phone (601) 852-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164326 | Other | PK |
Other names 1
- ThriveRx
National Provider Directory
National Provider DirectoryLocations
6440 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 852-1099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488758400000",
"number": "1922557115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028437",
"telephone_number": "601-852-1099",
"fax_number": "601-851-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028437",
"telephone_number": "601-852-1099",
"fax_number": "601-851-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2017-03-06",
"status": "A",
"authorized_official_last_name": "LEVI",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-218-5667"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "14941/1.1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2164326",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ThriveRx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.